Nicole M Wigton, PA C
Individual provider Active NPI Medical Physician Assistant · Alpine, UT
NPI 1831526060 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1831526060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 7607471-1206 (UT)
- Practice address
- 155 W Canyon Crest Rd Ste 200
Alpine, UT 84004-1966 - Phone
- (801) 763-9851
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7607471-1206 | UT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Family Medicine LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 7607471-1206 | UT | Yes |
Addresses
Primary practice location
155 W Canyon Crest Rd Ste 200
Alpine, UT 84004-1966
Mailing address
857 Braddock LN
Alpine, UT 84004-1967
Phone (801) 216-4440
Other providers in Alpine, UT
- Traverse Family Therapy LLC
- Triple Ccca
- Vernon C. Utley
- Aislinn Bell Watson
- Cecilia Sarah Santiago Weight
- Sarah Wilson
- Aaron Avery Wood
- Matthew C Wright
- Bryan Zitzman
All providers in Alpine, UT · Medical Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.